ERIC JOHN GOEDECKE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172911

License Status

ACTIVE

Business

Title

First Name

ERIC

Middle

JOHN

Last Name

GOEDECKE

Business Name

ERIC JOHN GOEDECKE DO

Original Issue Date

12/03/2024

Effective Date

12/03/2024

Expiration Date

07/31/2026

City

WARWICK

State

Zip

02886

Ever Disciplined

LastModifiedDate

12/05/2025